In June 2018, more than 600 defendants in 58 federal districts were charged with participating in fraudulent schemes involving about $2 billion in losses to Medicare and Medicaid.
The most common types of fraud were billing for services which were never rendered, over-billing or “upcoding” for services which were performed, unbundling steps of procedures typically performed together, or falsifying a diagnosis to justify medically unnecessary procedures or tests.
Develop an original response addressing these questions:
- How does an ethical decision-making model support budget variance analysis and response strategies?
- What are the consequences of failing to engage an ethical decision-making model?
APA citations are required only for the original response.
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